Daniel Aiham Ghazali1,2,3,4, Patricia Ilha-Schuelter5, Lou Barreyre6, Olivia Stephan6, Sarah Soares Barbosa5, Denis Oriot7,8, Francis Solange Vieira Tourinho5, Patrick Plaisance9,10. 1. Emergency Department and EMS, University Hospital of Amiens, 1 Rue du Professeur Christian Cabrol, 80000, Amiens, France. aiham@hotmail.com. 2. DREAMS, Department of Research in Emergency Medicine and Simulation, University Hospital and University of Amiens, 80000, Amiens, France. aiham@hotmail.com. 3. IAME "Infection, Antimicrobials, Modelling, Evolution" Research Center, UMR 1137-INSERM, University of Paris, 16 rue Henri Huchard, 75018, Paris, France. aiham@hotmail.com. 4. Simulation Center, University Paris, Paris, France. aiham@hotmail.com. 5. Department of Undergraduate and Graduate Nursing, Federal University of Santa Catarina, Florianópolis, Brazil. 6. Emergency Department, University Hospital of Bichat, 75018, Paris, France. 7. ABS Lab, Simulation Center of Poitiers University, 86000, Poitiers, France. 8. Pediatric Emergency Department, University Hospital of Poitiers, 86000, Poitiers, France. 9. Emergency Department, University Hospital of Lariboisière, 75010, Paris, France. 10. Ilumens Simulation Center of Paris University, 75018, Paris, France.
Abstract
PURPOSE: Chest tube insertion requires interdisciplinary teamwork including an emergency surgeon or physician in conjunction with a nurse. The purpose of the study was to validate an interdisciplinary performance assessment scale for chest tube insertion developed from literature analysis. METHODS: This prospective study took place in the simulation center of the University of Paris. The participants included untrained emergency/intensivist residents and trained novice emergency/intensivist physicians with less than 2 years of clinical experience and 6 months following training in thoracostomy, and nursing students. Each interdisciplinary pair participated in a high-fidelity simulation session. Two independent observers (O1 and O2) evaluated 61 items. Internal coherence using the Cronbach's α coefficient, intraclass correlation coefficient (ICC), and correlation of scores by regression analysis (R2) were analyzed. Comparison between O1 and O2 mean scores used a t test and F test for SDs. p Value < 0.05 was significant. RESULTS: From an initial selection of 11,277 articles, 19 were selected to create the initial scale. The final scale comprises 61 items scored out of 80, including 24 items for nursing items, 24 items for medical competence, and 13 mixed items for the competence of both. 40 simulations including 80 participants were evaluated. Cronbach's α = 0.76, ICC = 0.92, R2 = 0.88. There was no difference between the observers' assessments of means (p = 0.82) and SDs (p = 0.92). Score was 51.6 ± 5.9 in the group of untrained residents and nursing student, and 57.2 ± 2.8 in the trained group of novice physicians and nursing students (p = 0.0003). CONCLUSIONS: This first performance assessment scale for interdisciplinary chest tube insertion is valid and reliable.
PURPOSE: Chest tube insertion requires interdisciplinary teamwork including an emergency surgeon or physician in conjunction with a nurse. The purpose of the study was to validate an interdisciplinary performance assessment scale for chest tube insertion developed from literature analysis. METHODS: This prospective study took place in the simulation center of the University of Paris. The participants included untrained emergency/intensivist residents and trained novice emergency/intensivist physicians with less than 2 years of clinical experience and 6 months following training in thoracostomy, and nursing students. Each interdisciplinary pair participated in a high-fidelity simulation session. Two independent observers (O1 and O2) evaluated 61 items. Internal coherence using the Cronbach's α coefficient, intraclass correlation coefficient (ICC), and correlation of scores by regression analysis (R2) were analyzed. Comparison between O1 and O2 mean scores used a t test and F test for SDs. p Value < 0.05 was significant. RESULTS: From an initial selection of 11,277 articles, 19 were selected to create the initial scale. The final scale comprises 61 items scored out of 80, including 24 items for nursing items, 24 items for medical competence, and 13 mixed items for the competence of both. 40 simulations including 80 participants were evaluated. Cronbach's α = 0.76, ICC = 0.92, R2 = 0.88. There was no difference between the observers' assessments of means (p = 0.82) and SDs (p = 0.92). Score was 51.6 ± 5.9 in the group of untrained residents and nursing student, and 57.2 ± 2.8 in the trained group of novice physicians and nursing students (p = 0.0003). CONCLUSIONS: This first performance assessment scale for interdisciplinary chest tube insertion is valid and reliable.
Authors: Daniel Ghazali; Patricia Ilha-Schuelter; Sarah Barbosa; Jennifer Truchot; Pierre Ceccaldi; Francis Tourinho; Patrick Plaisance Journal: Anaesthesiol Intensive Ther Date: 2021
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